infx

Question 1

CAP score

Answer 1

curb
confusion
uremia
RR
low blood pressure
65 or greater 

number of factores determine 30 day mortality

Question 2

how to manage PNA

Answer 2

Outpt zpach azith 500mg then 250mg 4x d

HAP levofloxacin 500mg 7xd

aspiration pna
870mg po x10days

Question 3

when to treat UTI

Answer 3

dysuria or fever and 1 of or no dys and fever and two of

SPT
heme
increase in oncontinence
urgency
CVA tenderness 

AND

> 105 cfu
or >102 cfu in and out cath

with indwelling cath

need fever rigors or newonset hypotension
acute change in mental status
purulent discharge
and the cath has to have greater than 10^5 cfy

Question 4

biggest comorbodities you worry about with PNA

Answer 4

cough and CHF

Question 5

when do you worry about PNA

Answer 5

high fever and RR>25 breaths

low fever and tachy or high RR delirum rigors

Question 6

what are rhonchi

when do you hear it
what does it sounds like
what does it indicate
how do we refer to it

Answer 6

usually indicate PNA
fluid in the larger tubes
heard on inspiration and expiration
labeled as COURSE BREATHS

Question 7

Rales

when do you hear it
what does it sounds like
what does it indicate
how do we refer to it

Answer 7

also known as crackles
heard on inspiration at the end
popping of alveoli

could be
CHF
PNA
atelectasis

always get a CXR

Question 8

when do pressures occur physiologically speaking

Answer 8

pressure exceed cap flow cause ischemia and tissue necrosis

Question 9

mortality of pts admitted to nursing homes with pressure ulcers

Answer 9

50% in one year
w/out 27% in one year
35% w/ 3 months
25% w/out ulcers

Question 10

healing rate for stage III-IV

Answer 10

none at 4 months

59% at 6months

Question 11

when do you get an arterial ULS

Answer 11

anything less than plus 2 pulse